Adapted Physical Activity In Cancer Treatment - How Informed Is The Patient?

Abstract

The benefits of physical activity in cancer patients during and after cancer treatment have been well investigated in the last years. Less fatigue symptoms and increased quality of life are verifiable effects of aerobic exercise interventions. Currently most programs concentrate on post-rehabilitation support for breast cancer. PURPOSE: This study examines the level of knowledge in cancer patients regarding the benefits of adapted physical activity as well as the accessibility of specific exercise programs. METHODS: A total of 1000 anonymous questionnaires, derived from validated instruments (e.g. EORTC, SF36), were send to all registered Haemato-Oncologists in one state of Germany to forward them to their patients. Beside demographic data (age, sex, educational background, diagnosis and actual treatment) information regarding medical therapy and side effects, supportive programs, interests and reachability of exercise offerings were gathered. RESULTS: Survey information of 317 patients (m=161; w=156) with an average age of 58 years formed the basis for data analysis. Almost 47% of the patients received 1st line treatment during the time of investigation, 24% were treated in progressive disease, 17% were controlled in follow-up. Nearly 60% felt well informed about their current treatment, 5% declared a low information status. Half of the cohort reported to have sufficient knowledge regarding potential side effects, 8% felt underrepresented solved. Concerning the benefits of supportive exercise possibilities only 10% felt well informed, while 48% seemed to be unaware of physical activity related effects. Exercise programs were known by only 4%. Physicians were ranked first (81%) as information source, followed by print media/internet (35%). Spontaneously, 52% of cancer patients would like to participate in specific exercise interventions, 75% asked for more information. CONCLUSIONS: Cancer patients are insufficiently aware and informed about physical activity and its benefits. Exercise programs are not known by most of the patients. Exercise campaigns should be administered to enhance the knowledge of physicians, patients, health care providers and insurers. Courses, programs and structures should be easily accessible and focus on patients of all cancer entities.